Individual
DALEEN L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2645 MERIDIAN PKWY STE 323, DURHAM, NC 27713-4232
(984) 227-8902
Mailing address
949 PINEY FOREST RD, DANVILLE, VA 24540-1591
(434) 835-4876
(434) 835-4875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166073
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427004324
—
VA
Enumeration date
05/25/2006
Last updated
04/28/2020
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